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Barriers and Facilitators to Adopting a Systematic, Proactive, Evidence-Informed Technical Assistance System. 采用系统、积极、循证技术援助系统的障碍和促进因素。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.1177/01632787241293756
Andrea E Lamont, Amber Watson, Brittany S Cook, Andrew Romero, Kellen Schalter, Abigail Nellis, Kristina Clark, Ariel Domlyn, Abraham Wandersman

This article describes (a) key elements of a high-quality technical assistance (TA) system; (b) the operationalization of a high-quality TA system (Getting To Outcomes-Technical Assistance; GTO-TA) being implemented in a training and TA center (TTAC) interested in transforming its support services to include an evidence-informed approach to TA; and (c) key lessons learned in successfully transitioning from "TA-as-usual" to an evidence-informed TA system. GTO-TA is one operationalization of a systematic, proactive, evidence-informed approach to TA. GTO-TA includes best practices and core elements for a comprehensive TA system; it aims to increase the readiness (reduce barriers and increase facilitators) of an organization to deliver an innovation (program, policy, practice, and process new to an organization) with quality. We describe the collaboration between the Wandersman Center and the Geographic Health Equity Alliance team to co-design and implement the GTO-TA system. Data from surveys, interviews, and consensus conversations led to important lessons learned, which are applicable to other TTACs seeking to develop a more proactive and systematic approach to TA. Lessons include: changing internal operations to facilitate TA providers making necessary changes in providing TA and understanding the relative advantage perceptions about a new TA system that influence adoption and must be considered.

本文介绍了(a)高质量技术援助(TA)系统的关键要素;(b)一个培训与技术援助中心(TTAC)正在实施的高质量技术援助系统(获取成果-技术援助;GTO-TA)的运作情况,该中心有意将其支持服务转变为包括有实证依据的技术援助方法;以及(c)从 "照常提供技术援助 "成功过渡到有实证依据的技术援助系统的主要经验教训。GTO-TA 是对技术援助采取系统、积极、有实证依据的方法的一种操作方式。GTO-TA 包括全面技术援助系统的最佳实践和核心要素;其目的是提高一个组织的准备程度(减少障碍和增加促进因素),以便高质量地提供创新(对一个组织来说是新的计划、政策、实践、流程)。我们介绍了漫游者中心与地理健康公平联盟团队合作共同设计和实施 GTO-TA 系统的情况。从调查、访谈和共识对话中获得的数据总结出了重要的经验教训,这些经验教训适用于其他寻求制定更积极、更系统的 TA 方法的 TTAC。这些经验教训包括:改变内部运作,以促进技术援助提供者在提供技术援助方面做出必要的改变;了解对新技术援助系统的相对优势看法,这些看法会影响系统的采用,必须予以考虑。
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引用次数: 0
Collective Impact-Strengthening the Science and Practice of Implementation Support: Evaluating the Effectiveness of Training and Technical Assistance Centers. 集体影响--加强实施支持的科学与实践:评估培训和技术援助中心的有效性。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI: 10.1177/01632787241295323
Lawrence M Scheier, Abraham Wandersman

We introduce the second of two special issues that examine the science and practice of implementation support with takeaways for training and technical centers (TTACs). Major goals of both issues were to provide: rationale, concepts, and tools for evaluating training and technical assistance (TTA); an evidence-base for TTACs; and greater understanding of what is required to close the research-practice gap. To achieve these ambitious goals, we encouraged submissions from a broad array of individuals and groups involved in TTA. The seven articles in this second issue were written by a diverse mix of individuals affiliated with TTACs, federal agencies, research-oriented think tanks, and implementation scientists whose focus is on advancing the TTA literature. We felt that the collective wisdom garnered from their experiences would complement the first issue (June 2024) and collectively forge ahead and provide a vision of what is to come. We also thought it would be useful to provide perspectives on what it looks like when readers could examine both issues as a whole. Therefore, we included five commentaries-from the two editors and esteemed colleagues-who help provide a holistic perspective on the present and future of the science and practice of implementation support.

我们介绍了两期特刊中的第二期,这两期特刊研究了实施支持的科学与实践,为培训与技术中心(TTAC)提供了启示。这两期特刊的主要目标是:提供评估培训和技术援助(TTA)的原理、概念和工具;为培训和技术中心(TTAC)提供实证依据;以及进一步了解缩小研究与实践差距所需的条件。为了实现这些宏伟目标,我们鼓励参与培训和技术援助的众多个人和团体投稿。第二期中的七篇文章是由隶属于技术咨询委员会、联邦机构、以研究为导向的智囊团以及专注于推动技术援助文献发展的实施科学家的不同人士撰写的。我们认为,从他们的经验中汲取的集体智慧将对第一期(2024 年 6 月)起到补充作用,并共同向前迈进,为未来的发展提供愿景。我们还认为,如果读者能从整体上审视这两期杂志,那么提供一些视角也是有益的。因此,我们收录了五篇评论文章,分别来自两位编辑和德高望重的同行,他们帮助我们从整体角度看待实施支持科学与实践的现状和未来。
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引用次数: 0
Charting Progress in the Science of Technical Assistance for Implementation of Evidence-Based Interventions. 绘制实施循证干预技术援助科学的进展图。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI: 10.1177/01632787241293447
David A Chambers, Gila I Neta

Technical assistance (TA) has long been a strategy utilized to support implementation of a range of different evidence-based interventions within clinical, community and other service settings. Great progress has come in extending the evidence base to support TA's use across multiple contexts, the result of more extensive categorizing of implementation strategies to support systematic studies of their effectiveness in facilitating successful implementation. This commentary builds on that progress to suggest several opportunities for future investigation and collaborative activity among researchers, practitioners, policymakers and other key decision-makers in hopes of continuing to build the success highlighted in this special issue and elsewhere. Authors call for increased attention to operationalization and tailoring of TA, considering how TA services can be sustained over time and how to consider externally-provided TA versus that housed within an organization. In addition, the commentary suggests a few key areas for capacity-building that can increase the quality, reach, and impact of TA for the future.

长期以来,技术援助(TA)一直是用于支持在临床、社区和其他服务环境中实施一系列不同循证干预措施的策略。在扩大证据基础以支持技术援助在多种情况下的使用方面,已经取得了巨大进展,这是对实施策略进行更广泛分类以支持对其在促进成功实施方面的有效性进行系统研究的结果。本评论以这一进展为基础,提出了研究人员、从业人员、政策制定者和其他关键决策者未来开展调查和合作活动的几个机会,希望继续巩固本特刊和其他地方所强调的成功。作者呼吁更多地关注技术援助的可操作性和针对性,考虑如何使技术援助服务长期持续下去,以及如何考虑外部提供的技术援助与组织内部提供的技术援助。此外,评论还提出了能力建设的几个关键领域,这些领域可以提高技术援助的质量、范围和影响。
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引用次数: 0
Evidence-Based Implementation Support: Considering Motivation and Capacity Within the Ecosystem of Training and Technical Assistance. 循证实施支持:考虑培训和技术援助生态系统中的动机和能力。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-12-01 Epub Date: 2024-10-31 DOI: 10.1177/01632787241293457
Brian K Bumbarger, Julia E Moore, Margaret E Crane

This invited commentary reflects on Wandersman and Scheier's (2024) call for a more evidence-based model of training and technical assistance (i.e. TTA or implementation support). Their clarion call prompts us to consider what steps need to be taken to refine and scale a solution that genuinely enhances the effectiveness of TTA through a re-imagined model of implementation support. We highlight eight priorities to re-imagine a more effective and efficient model of TTA that reflects best practice and simultaneously contributes to continuous, collective evidence-building. The eight priorities include: (1) an ecosystem of TTA connecting TTA research and practice; (2) TTA capacity building; (3) health equity, and equitable partnerships; (4) trust and relationships; (5) TTA evaluation; (6) continuous quality improvement; (7) implementation support mechanisms; and (8) cost-effective solutions. We advocate for an international, cross-disciplinary, applied agenda aimed at establishing a robust empirical foundation for TTA to foster a culture of continuous quality improvement and knowledge generation across government agencies and philanthropies that fund TTA Centers. We describe a potential scenario for how funders can initiate and support evidence-based TTA.

这篇特邀评论反映了 Wandersman 和 Scheier(2024 年)的呼吁,即建立一个更加循证的培训和技术援助(即 TTA 或实施支持)模式。他们的呼吁促使我们思考需要采取哪些措施来完善和推广一种解决方案,通过重新构想的实施支持模式来真正提高技术援助的有效性。我们强调了八个优先事项,以重新构想一种更有效、更高效的技术援助模式,这种模式既能反映最佳实践,又能促进持续的、集体的证据积累。这八个优先事项包括(1) 连接 TTA 研究与实践的 TTA 生态系统;(2) TTA 能力建设;(3) 健康公平与公平伙伴关系;(4) 信任与关系;(5) TTA 评估;(6) 持续质量改进;(7) 实施支持机制;(8) 具有成本效益的解决方案。我们主张制定一个国际性、跨学科的应用议程,旨在为技术援助建立一个强大的实证基础,在资助技术援助中心的政府机构和慈善机构中培养一种持续改进质量和创造知识的文化。我们描述了资助者如何启动和支持以实证为基础的技术援助的潜在方案。
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引用次数: 0
Estimating Mediation Effects in ABAB Reversal Designs. 估计 ABAB 反向设计中的中介效应。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-11-18 DOI: 10.1177/01632787231217000
Matthew J Valente, Jinyong Pang, Judith J M Rijnhart, John Ferron, Milica Miočević

Single-Case Experimental Designs (SCEDs), or N-of-1 trials, are commonly used to estimate intervention effects in many disciplines including in the treatment of youth mental health problems. SCEDs consist of repeated measurements of an outcome over time for a single case (e.g., student or patient) throughout one or more baseline phases and throughout one or more intervention phases. The manipulation of the baseline and intervention phase make the SCED a type of interrupted time series design, which is considered one of the most effective experimental designs for causal inference. An important step towards understanding why interventions are effective at producing a change in the outcome is through the investigation of mediating mechanisms. Hypotheses of mediating mechanisms involve an intervention variable which is hypothesized to affect an outcome through its effect on a mediating variable. Little work has attempted to combine mediation analysis and ABAB reversal designs. Therefore, the goals of this paper are to define, estimate, and interpret mediation effects for ABAB reversal designs. An empirical example is used to demonstrate how to estimate and interpret the mediation effects. R code is provided for researchers interested in estimating mediation effects in single-case reversal designs.

单病例实验设计(SCEDs)或 N-of-1 试验常用于评估许多学科的干预效果,包括青少年心理健康问题的治疗。单病例实验设计包括在一个或多个基线阶段和一个或多个干预阶段对单个病例(如学生或病人)随时间变化的结果进行重复测量。对基线和干预阶段的操作使 SCED 成为一种间断时间序列设计,被认为是最有效的因果推断实验设计之一。了解干预措施为何能有效地改变结果的一个重要步骤是调查中介机制。中介机制假设涉及干预变量,假设干预变量通过对中介变量的影响来影响结果。很少有研究尝试将中介分析和 ABAB 反转设计结合起来。因此,本文的目标是定义、估计和解释 ABAB 反向设计的中介效应。本文通过一个实证例子来演示如何估计和解释中介效应。本文提供了 R 代码,供有兴趣在单例反转设计中估计中介效应的研究人员使用。
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引用次数: 0
Behavioral Addiction Treatment Centers in the Hospitals of Türkiye: A Web-Based Research. 土耳其医院行为成瘾治疗中心:基于网络的研究。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-11-15 DOI: 10.1177/01632787241301807
Ayten Doğan Keskin, Nuray Öztürk, Filiz Düştü, Betül Yilmaz

This study investigates the current landscape of behavioral addiction treatment in Türkiye hospitals, considering both inpatient and outpatient approaches. The analysis involved examining the websites of 1393 hospitals across Türkiye based on various criteria. The review of the websites was conducted between June and September 2023. The findings reveal that out of these hospitals, comprising 822 public and 571 private institutions, only 51 provide treatment for behavioral addictions. Behavioral addiction treatments are available in 23 of the 81 provinces in Türkiye, and 24 out of the 51 hospitals offering treatment for behavioral addictions are located in İstanbul (47.1%), while three (5.9%) are located in Ankara. Among these 51 hospitals, 22 are public, and 29 are private. The primary focus of treatment revolves around internet and gambling addiction. Upon analyzing the patient groups served, it was observed that 49% (n = 25) of the hospitals specialize in treating adult patients, while 29.4% (n = 15) cater to pediatric patients. While the websites of 11 hospitals contain information about the behavioral addiction treatments offered, they lack any information on the patient groups to which they cater. The predominant treatment modalities include psychotherapy (25.49%), followed by psychopharmacotherapy (19.61%) and cognitive-behavioral therapy (17.65%). In conclusion, the treatment of behavioral addictions, such as those related to the internet, gaming, and shopping, are offered in hospitals across various regions and age groups. Considering that only 3.7% of hospitals in Türkiye treat behavioral addictions, this type of treatment is not widespread.

本研究调查了土耳其医院行为成瘾治疗的现状,同时考虑了住院和门诊治疗方法。分析工作包括根据各种标准检查土耳其全国 1393 家医院的网站。网站审查在 2023 年 6 月至 9 月期间进行。结果显示,在这些医院(包括 822 家公立医院和 571 家私立医院)中,只有 51 家提供行为成瘾治疗。在土耳其的 81 个省中,有 23 个省提供行为成瘾治疗,在 51 家提供行为成瘾治疗的医院中,有 24 家位于伊斯坦布尔(47.1%),有 3 家(5.9%)位于安卡拉。在这 51 家医院中,22 家是公立医院,29 家是私立医院。治疗的主要重点是网瘾和赌瘾。在对所服务的患者群体进行分析后发现,49%(n = 25)的医院专门治疗成人患者,而 29.4%(n = 15)的医院专门治疗儿童患者。虽然有 11 家医院的网站提供了有关行为成瘾治疗的信息,但却没有提供任何有关其服务患者群体的信息。最主要的治疗方式包括心理疗法(25.49%),其次是精神药物疗法(19.61%)和认知行为疗法(17.65%)。总之,不同地区和年龄段的医院都提供行为成瘾(如与网络、游戏和购物有关的成瘾)的治疗。鉴于土耳其只有 3.7% 的医院治疗行为成瘾,因此这类治疗并不普遍。
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引用次数: 0
Mindful With Your Baby/Toddler: A Single Case Design (SCD) Study. 与您的宝宝/学步期儿童一起用心:单例设计 (SCD) 研究。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-11-11 DOI: 10.1177/01632787241297966
Mirla A Schaeffer, Eva S Potharst

Transitioning to motherhood comes with new and intensive tasks that may cause parental stress, low parental self-efficacy, and internalizing problems. This can in turn negatively affect the mother-child relationship. Mindful with your Baby/Toddler (MwyB/T) is a mindfulness-based intervention for parents of young children experiencing parental stress and internalizing problems. Previous evaluative studies showed promising results, but methodology of these studies was limited. The current study used a single case design, including a baseline, intervention, posttest, and follow-up phase, to evaluate the effectiveness of MwyB/T. Ten participants were included and completed daily administered personalized items and validated questionnaires measuring mindfulness, mindful parenting, parental self-efficacy, internalizing problems, and parental stress, for 10 participants. Personalized items were first coded into themes and then assessed using visual analysis and descriptive effect size measures. Reliable change indices were computed for the questionnaires. All mothers improved on personalized items, with most improving on most (or all) of their items. On the questionnaires the majority of mothers improved. Results indicate that MwyB/T could benefit mothers with various intervention goals. More research is needed on the role of personalized items, both as a research measure and an as a possible additional element of interventions.

过渡到母亲角色会带来新的和高强度的任务,可能会造成父母的压力、父母自我效能感低和内化问题。这反过来又会对母子关系产生负面影响。婴幼儿正念(MwyB/T)是一种以正念为基础的干预方法,适用于那些面临父母压力和内化问题的婴幼儿父母。以往的评估研究显示了良好的效果,但这些研究的方法有限。本研究采用单一案例设计,包括基线、干预、后测和随访阶段,以评估 MwyB/T 的有效性。共有 10 名参与者参与了这项研究,并完成了日常管理的个性化项目和经过验证的调查问卷,其中包括正念、正念养育、父母自我效能感、内化问题和父母压力。首先对个性化项目进行主题编码,然后使用视觉分析和描述性效应大小测量进行评估。对问卷计算了可靠的变化指数。所有母亲在个性化项目上都有所改善,其中大多数母亲在大部分(或全部)项目上都有所改善。在问卷调查中,大多数母亲都有所改善。结果表明,MwyB/T 可使母亲们从各种干预目标中受益。关于个性化项目的作用,还需要进行更多的研究,无论是作为一种研究措施,还是作为干预措施的一种可能的附加元素。
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引用次数: 0
Who's at the Table? A Scoping Review of Stakeholder Engagement in Medical Education Program Evaluation. 谁在桌边?利益相关者参与医学教育项目评估的范围审查》。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-29 DOI: 10.1177/01632787241286911
Juliette Macabrey, Laura-Lou Wuest, David Buetti

Program evaluation is essential for medical schools to demonstrate social accountability and identify areas for improvement in medical education (MEd). Although stakeholder engagement is crucial in program evaluation, no previous review has specifically examined the stakeholders involved in MEd program evaluation. This scoping review addresses this gap by identifying the stakeholders, their roles, and their levels of engagement in evaluating MEd programs, along with the facilitators and barriers to their participation. Through a systematic search across four databases, we identified 53 relevant studies out of 7206 screened. Our findings reveal seven primary stakeholder groups, with students and program directors being the most frequent participants. However, a significant gap exists in the representation of community members and patients, indicating a need for greater inclusion of these key stakeholders. Additionally, we found that stakeholders are primarily engaged as passive participants providing feedback rather than actively shaping the evaluation process. Facilitators and barriers to participation were identified from the participants' perspective, highlighting the need for further research to understand the viewpoints of active stakeholders, such as faculty and administrators. Future studies should also explore the impact of different evaluation approaches on stakeholder engagement to develop more inclusive and effective MEd program evaluations.

医学教育(MEd)项目评估对于医学院展示社会责任感和确定需要改进的领域至关重要。尽管利益相关者的参与在项目评估中至关重要,但之前的综述并未专门研究参与医学教育项目评估的利益相关者。本范围界定综述通过确定利益相关者、他们的角色、他们参与医学教育(MEd)项目评估的程度,以及他们参与的促进因素和障碍,来填补这一空白。通过对四个数据库的系统搜索,我们从筛选出的 7206 项研究中确定了 53 项相关研究。我们的研究结果显示了七个主要利益相关者群体,其中学生和项目主任是最常见的参与者。然而,在社区成员和患者的代表性方面存在很大差距,这表明需要更多地纳入这些主要利益相关者。此外,我们还发现,利益相关者主要是被动地提供反馈意见,而不是积极地影响评估过程。从参与者的角度确定了参与的促进因素和障碍,强调了进一步研究的必要性,以了解积极的利益相关者(如教师和管理人员)的观点。未来的研究还应探索不同的评估方法对利益相关者参与的影响,以开发更具包容性和更有效的教育硕士项目评估。
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引用次数: 0
Monetary Incentives in Clinician Surveys: An Analysis and Systematic Review With a Focus on Establishing Best Practices. 临床医师调查中的货币激励:以确立最佳实践为重点的分析和系统回顾。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-25 DOI: 10.1177/01632787241295794
Jonathan B VanGeest, Timothy P Johnson, Evgenia Kapousouz

Surveys involving health care providers continue to be characterized by low and declining response rates (RRs), and researchers have utilized various strategies to increase survey participation. An important approach is to employ monetary incentives to improve survey response. Using a systematic review and analyses of 100 randomized comparisons (published in 48 papers) between monetary incentives and a non-incentive condition, this paper seeks to advance the understanding of best practices for using monetary incentives in clinician surveys. These analyses show even small incentives (≤$2) to be effective in improving clinician response relative to non-incentive subgroups, with diminished returns associated with serial incremental increases above that amount up to amounts greater than $25, at which point there is an appreciable improvement, supporting the use of higher incentives in this population. Cash and direct cash equivalents (e.g., cash cards and checks) produced greater odds of survey participation compared to vouchers, lotteries and charitable contributions, with lotteries and charities being the least effective forms of monetary incentive. Survey mode, timing and ethical considerations are also addressed. Noting the challenges associated with surveying clinicians, researchers must make every effort to improve access to this difficult-to-reach population by implementing appropriate incentive-based strategies designed to improve participation rates.

涉及医疗服务提供者的调查仍然以响应率低和响应率下降为特点,研究人员已利用各种策略来提高调查的参与率。一种重要的方法是采用货币激励来提高调查响应率。本文通过对 100 篇随机比较文章(发表于 48 篇论文中)进行系统回顾和分析,探讨了在临床医师调查中使用货币激励的最佳实践。这些分析表明,即使是小额激励(≤2 美元)也能有效地提高临床医生对非激励亚组的响应度,但随着激励金额的连续递增,当激励金额超过 25 美元时,响应度会逐渐降低,此时的响应度会有明显提高,因此支持在这一人群中使用更高的激励。与代金券、彩票和慈善捐款相比,现金和直接现金等价物(如现金卡和支票)参与调查的几率更大,而彩票和慈善捐款是最无效的货币激励形式。此外,还讨论了调查模式、时间安排和道德方面的考虑因素。研究人员注意到对临床医生进行调查所面临的挑战,因此必须尽一切努力,通过实施适当的激励策略来提高参与率,从而更好地接触到这一难以接触到的人群。
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引用次数: 0
Improving Infant Mental Health: A Pilot Study on the Effectiveness, Acceptability and Feasibility of Eye Movement Desensitization and Reprocessing (EMDR) Storytelling in Infants With Post-traumatic Distress After Medical Procedures. 改善婴儿心理健康:关于眼动脱敏和再处理(EMDR)讲故事对医疗程序后创伤后心理压力婴儿的有效性、可接受性和可行性的试点研究。
IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-23 DOI: 10.1177/01632787241268176
Eva S Potharst, Petra Holtkamp, Lily Walliser, Agnes H Dommerholt, Maartje E N van den Heuvel, Indra Spierts, Marija Maric

Although the prevalence of symptoms of post-traumatic stress disorder (PTSD) in infants and young children is similar as in older age groups, and PTSD intervention is as important in this age group, research on PTSD-treatment in infants is very scarce. Eye Movement Desensitization and Reprocessing (EMDR) Storytelling is a trauma-focused treatment that is being used by clinicians for infants with PTSD-symptoms. The aim was to assess the feasibility, acceptability and initial indications of effectiveness of EMDR Storytelling for infants aged 3-24 months with PTSD-symptoms after medical procedures. We included 6 infants and administered personalized items to assess PTSD-symptoms during the baseline, intervention and follow-up phase on a day-to-day basis. Furthermore, we measured PTSD-classification and symptoms at three and four measurement points, respectively. The data was analysed visually and quantitatively. EMDR Storytelling was shown to be feasible and acceptable for all participating families. Parent- and therapist-report showed that four out of the six infants included in the current study showed a clear reduction over time in PTSD-classification, -symptoms, and daily measured PTSD-symptoms. The results concerning the other two infants were mixed. Attention should be paid to cognitive (language) as well as interactional (infant-parent) mechanisms potentially underlying the benefits of EMDR Storytelling.

虽然创伤后应激障碍(PTSD)症状在婴幼儿中的发病率与较大年龄组相似,而且创伤后应激障碍干预对这一年龄组也同样重要,但有关婴幼儿创伤后应激障碍治疗的研究却非常少。眼动脱敏和再处理(EMDR)讲故事是一种以创伤为重点的治疗方法,目前正被临床医生用于治疗有创伤后应激障碍症状的婴儿。我们的目的是评估 EMDR 讲故事疗法的可行性、可接受性以及对 3-24 个月大患有创伤后应激障碍症状的婴儿的初步疗效。我们纳入了 6 名婴儿,并在基线、干预和随访阶段每天对创伤后应激障碍症状进行个性化评估。此外,我们还分别在三个和四个测量点对创伤后应激障碍分类和症状进行了测量。我们对数据进行了直观和定量分析。结果表明,EMDR 讲故事对所有参与家庭来说都是可行和可接受的。家长和治疗师的报告显示,参与本次研究的六名婴儿中,有四名婴儿的创伤后应激障碍分类、症状和每日测量的创伤后应激障碍症状随着时间的推移明显减少。另外两名婴儿的结果则参差不齐。应注意认知(语言)和互动(婴儿-父母)机制可能是 EMDR 讲故事带来益处的基础。
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引用次数: 0
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Evaluation & the Health Professions
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